HomeMy WebLinkAbout09-9610 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9610
ANNUAL FIRE PROTECTION MAINTENANCE
14:0° lAYAp
Permit Number: 9610 Address: 5220 10TH ST
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 18100 -0110
Improv. Cost: > ....: 7 , . i
Date Issued: 10/05/2009 Name: CHURCH OF THE LIVING WORD
Total Fees: 25.00 Address: 5220 10TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/05/2009 Phone:
Work Desc: FPM- HOOD CLEAN- C.O.L.W.- SCH 10/2/09
`ITY EAU - M N LL FIR - ' MT 25.00
t
1•j61
, €�� 7m ,o :, ; ,. ; nE
FIRE A P AN final -
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review, administrative fees, and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
P 11 " IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
813- 78041e2O My r# F Roc-813-73041021
Deisiieoihed : - Pima* Cosanstfor
/
Cannes Finn. Numbar - ' g` 2,
Ownafs Noma ' a
c)waslsAdute .:Ijr<:z?.0 . ` 1ep - l =Z.e�, y i /S" - _ . ,
Fes BMa{tls'iillabirNsias :
Job Add�aas. . -
S1b Oindon
L�1
i'io-iissndMAta _ _ - � 4 -.,:„ l isaideYsiYedat(fiuriarii3reollyjAMNSIfL ..
0 centradain ' - - ; E=.1 hood— . ,
6FlRIMilni. ale
Rea Roaming bedram nos ANNUAL k ,
a - p' , 0 ` tieaesisaall
Hood Supplasdan a o a I
Aas/1Wiaiorle�eifae � `! AIL . - -
p
A.mII . i Mima- ) 1 VakwilenorPohject
-_._. -
swowewe I. .
Address l ... .
tom# t }
=1 - 1, 3 - -...., 1 : . -Y. .':- -:'„. - i . - , ' ..' .* • ;Jr: -' * Rabblind . 'WV_ t rosaia# i _
Company
�
'C ` a _'�. �. �1�... ' •
Ratios i _, _. .. _ _ I �!+�# . ) • .._
IIECHANICALI cao•paai►
hollowed . YIN Roo Omani 1 YIN f
Adt - - I Uma.a# I - i
OTHER
9iproabss ! _ wtpbllnd Ira aiLdll COMM
Addles* 4. a ir{41111/7 scram moos* T- ,i.FAIMIIIIIIIII
FS outappioa8oe oaspisbbr.
Omar & Coanadordpa baaltatappliollon. mobrizad (Or, Gamy faigaadmwaraotrithaim*
irattart2i0G4a Maw aVOoaaaapaaaantttsarniadili ae8eai.raio arie000
Supply boo (Z) adsofaaaai ,pa nib applimbiaaoauasnla bo
Alba 10-14 days forasoiswtdwrsaboarddohs. Paged #- abbbod *rev Rowdy TaxNoloa Dare)
•
1O110E (WIRED RE$ilucTiONS Tha a daisjnd undeistanda that 1his it maybe - std isc elm'daartaresiictians
Mich may be atone restrictive then County mutations. The - axdersigned:aeaunes tosponhebety ioroan deaceswah any
gpiioabie -deed restrictions.
SiuCEN.ED CONTRACTORS AND RESOONSISILRIEtt Fite owner has ti ed `contracior or • -
=track= in undertake work They be request* -be licensed k a :mincewiih shit and loadiepuislions. Wits
r bi not Vicerised as mouired: by -law, bob the eerier and . conirackw may be cited a adedernee or riokdion
ander stele thin. _ ff is owner co idended.connbadorare istoerishaa avalue lbendrg sgt Winients may opPly for the
deluded woe", they are advieedb contact fse-Pasoo County Salkinginepesforvi'Rrision-- .icensitg Sedionat 727 -847
JOO9. Forbears% Y the owner has hired a conliaoior or' aor_aclonk he as advised to- lowe he contractor(s) sign
iortioms of the `coalracior:Biock'o€ his spplication whichiej irdi . be responsible. W you. aside owner as the
i diactor, that may be an indication that he is not popery licensed and is not sitedle parading 'privileges it Pasco
;aunty.
XINSTRUCTION.LIESILAW (Chapter713, ifs afwodc is $2,500.00 or more,
:edify that I, the applicant, hens been proceed with a copy of - the 'Florida Candmikee IJen s
3 rotecton guider prepared byihe faridel Depwrimentof Agticulkee and Consumer *Oka. Witte applamt is someone
Aviation tie'owner',1 certify that I have cblai od a copy of the above dumbed docimrent and premiss in good to
teaser kb the °owner priorb
- :A1 1Yi'i; l cerillY that all the information irh this hppiichiion is accurate and
that aft work ad be done in - compiisnoe wib et applicable laws _ ne i t ng o on. among and land
deurelopment. Application is hereby made* oblate pentane, do soiled d mobs oni as indicated. 1 calk
that no work or ireloieition has conraretnosd prior* iewamce of* posit ihst di work wits pariormed to
meet slenderds of all Ms moiling cOniikuotlak County and Cat sue. zoning naguiefons, and land
development regulation b. Ibe man. 1 abb. codify that i understand that the tegullations of other
. government agencies may apply to the intended work and it is my n iporubillyID timely what actions 1
hustle's, b be in accrue:
if I am **mom FORME OSIER, l promise goodliv li b "inn n the owner ofilfe pendifnacondlions aetiiortt in
ifds•affidavt ptiorio deaemrencing con■iuciion. I.ishdeiat■nd theta separate Pend aray be requked for Mika work,
plumbing, signs, wails, pods, air condNoning, gee, - or other 'skidoos not speak riy included in the application. A
permit issued shell beconserued is be a ilca iue to proceed wilt the weekend not an adhodlilo v>K cue$ afar, or
s e t aside s a y p r o v i s i o n s lithe iecha bl'aodse; mr du ii lsananoe ea penal preveaelhe Bildbg OAciitom Iberedier
requiring a conentioasnf arras *plans, consis ion or viddioneal any codes. BMW Flo* iesrelland becoase invalid
. tmiess the track adUorbed by such mad is oaaarsetioad within air monis. Of pan* Isaultnce. fir if and arihorbasd by
the pallid Is or abandoned fora peilod.af Or -aoalks air theism iihee.rraic brosanienced. An esdrsuion
May be tequesled, k1 -w . tonrisaulding Oli ed for a period not 1io emceed ninety (ttf} days and all demonstrate
Makable comets the radeadon. - fwork ce mum for Mealy :(9t} sineeculbre days, the h.lsconsideree abendoned-
WAIUMINg moat "AIR AR FlIRyJlilE TORRCORD I111CIIi 'Or 111A1I' RESULT
PAYING NOCE FOR llur fl 'fl0 VOW PROPERTY. IF YOU INTEND 7'O OBTAIN FINNI ING, CONSULT
Fi.ORIDo. UnirfFiL I
Subecilbsdiadiaininisegrallhasgbelbsatalis S eiesidsdawsmb {eratlkweG beam owl*
• wls t . ..
Ns," ic` i�aAree�aiai�aiae� 'ivrrwets'seiarhueOentpaodvoaa _ - .__ _,_, -
as
Miry Pubic _ - • _ . .. . .
i
Cacedssion Ka, . - Commis ion Ab.
Name of Notary Wet riddedarahmPed Nome Pct* oio iped.PrMsdaratimPed